) and the right
3500 grams (122 1/2 oz.). Hamilton reports a case of
hypertrophied glands in a woman of thirty-two, which, within the
short space of a year, reached the combined weight of 52 pounds.
They were successfully excised. Velpeau, Billroth, and
Labarracque have reported instances of the removal of enormously
hypertrophied mammae. In 1886 Speth of Munich described a
hypertrophy of the right breast which increased after every
pregnancy. At the age of twenty-six the woman had been five times
pregnant in the space of a little over five years, and at this
time the right breast hung down to the anterior superior spine of
the ilium. It weighed 20 pounds, and its greatest circumference
was 25 inches. There was no milk in this breast, although the
left was in perfect lactation. This case was one of pure
hypertrophy and not an example of fibro-adenoma, as illustrated
by Billroth. Warren figures a case of diffused hypertrophy of the
breast which was operated on by Porter. The right breast in its
largest circumference measured 38 inches and from the chest-wall
to the nipple was 17 inches long, the circumference at the base
being 23 inches; the largest circumference of the left breast was
28 inches; its length from the chest-wall to the nipple was 14
inches, and its circumference at the base 23 inches.
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